Individual
DR. KEVIN OH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
170 BROOKLINE AVE, UNIT 517, BOSTON, MA 02215-3937
(321) 287-8346
Mailing address
130 PADDLE CT, PEACHTREE CITY, GA 30269-4804
(321) 287-8346
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN1855931
MA
1223G0001X
General Practice Dentistry
Primary
DN015150
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/23/2011
Last updated
04/17/2022
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